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Patient Specific Protocol Assignment – Ordering Schedule II or III controlled substances
The purpose of this activity is to prepare a patient specific protocol (a component of a standardized procedure) for the ordering of Schedule II or II controlled substance.
When Schedule II or III controlled substances, as defined in Section 11055 and 11056 of the Health and Safety Code, are furnished or ordered by a NP (nurse practioner), the controlled substance shall be furnished or ordered in accordance with a patient-specific protocol approved by the treating or supervising physician. The provision for furnishing Schedule II controlled substances shall address the diagnosis of illness, injury, or condition for which the Schedule II controlled substance is to be furnished.
You need to describe your (imaginary )workplace and srite a “patient specific” protocol for the controlled substances you would be likely to prescribe in that practice. eg pediatric,ob-gyn, psych, internal medicine.
****USE A PSYCHIATRIC SCHEDULE II DRUG – LIKE ADDERALL OR RITALIN****
You need to complete the protocol component only, not the policy component.
You need to include the diagnoses, formulary and any specific qualifiers, such as the amount of medication .
Please consult the following reference materials and include in your bibliography
California Board of Registered Nursing. (1998). Explanation of RN scope of practice and nurse
practitioner practice. Retrieved from
https://www.rn.ca.gov/pdfs/regulations/npr-b- 19.pdf
California Board of Registerd Nursing. (1998). Explanation of standardized procedure
requirements for nurse practitioner practice (NPR-B-20). Retrieved from
https://www.rn.ca.gov/pdfs/regulations/npr-b-20.pdf
California Board of Registered Nursing (2004). Frequently asked questions regarding nurse
practitioner practice (NPR-I-25). Retrieved from
https://www.rn.ca.gov/pdfs/regulations/npr-i-25.pdf
The Protocol is to be complete, current and include all the necessary elements specified by the
CA BRN.
SEE SAMPLES ATTACHED
Protocol Assignment
Grading Rubric Protocol Assignment
Complete policy and protocol components 2 pts
Requirements for the RN/identifies authorized personnel 1 pts
Identifies scope and setting 1 pts
Patient Specific .5 pts
Diagnosis/injury/illness specific .5 pts
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